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右美托咪定在硬膜外麻醉下妇科手术中的镇静效果
引用本文:张晓明,王贺.右美托咪定在硬膜外麻醉下妇科手术中的镇静效果[J].中国现代医生,2012,50(9):97-98.
作者姓名:张晓明  王贺
作者单位:浙江省衢州市妇幼保健医院麻醉科,浙江衢州,324000
摘    要:目的探讨右美托咪定在硬膜外麻醉妇科手术中的镇静效果。方法将103例择期硬膜外麻醉下行子宫和(或)卵巢切除手术的患者分为对照组(不给予镇静药物)和观察组(给予右美托咪定)。记录给药前(T0)、用药后10min(TI)、30min(T2)、60min(T,)及术毕(T4)的HR、MAP及Ramsay镇静评分情况。结果T1~T4观察组Ramsay评分显著高于T0时(P〈0.05),HR显著低于T0时(P〈0.05),两组比较差异有统计学意义(P〈0.05)。结论右美托咪定用于硬膜外麻醉妇科手术镇静效果显著,值得借鉴。

关 键 词:右美托咪定  硬膜外麻醉  妇科  镇静

The sedative effect of Dexmedetomidine in gynecologic surgery under epidural anesthesia
Authors:ZHANG Xiaoming  WANG He
Institution:Department of Anesthesia,Maternal and Child Care Service Centre of Quzhou City of Zhejiang Province,Zhejiang 324000,China
Abstract:Objective To explore the sedative effect of Dexmedetomidine in gynecologic surgery under epidural anesthesia.Methods All of 103 cases in gynecologic surgery under epidural anesthesia were divided into control group(not given sedative drug) and observation group(given Dexmedetomidine).HR,MAP and Ramsay scores were recorded at before administration(T0),after administration 10 min(T1),30 min(T2),60 min(T3) and operation finished(T4).Results The Ramsay scores of observation group were higher at T1-T4 than at T0(P < 0.05),the HR of observation group were lower at T1-T4 than at T0(P < 0.05),the difference between the two groups was sihnificant(P < 0.05).Conclusion The sedative effect of Dexmedetomidine in gynecologic surgery under epidural anesthesia is good,it is worthy for application.
Keywords:Dexmedetomidine  Epidural anesthesia  Gynecologic surgery  Sedative effect
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